Provider Demographics
NPI:1225520414
Name:GUILKEY, ANNA MARIE (MHS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIE
Last Name:GUILKEY
Suffix:
Gender:F
Credentials:MHS CCC-SLP
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:MARIE
Other - Last Name:STEELY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:804 W JOHNSON AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72764-4159
Mailing Address - Country:US
Mailing Address - Phone:479-750-8800
Mailing Address - Fax:
Practice Address - Street 1:804 W JOHNSON AVE
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764-4159
Practice Address - Country:US
Practice Address - Phone:479-750-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-04
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019005431235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist